7.6 Anatomy Scan (18–22 Weeks): A Critical Milestone in Every Surrogacy Journey

What Every Surrogate Mother and Intended Parent Needs to Know — From GSHC Surrogacy Agency

The anatomy scan—also called the 20-week scan or Level II ultrasound—is a required medical milestone in every pregnancy. But in a surrogacy journey, it becomes even more crucial. At GSHC, we guide every surrogate mother and family through this key step to protect the baby’s health, maintain timely decision-making, and fulfill all contractual responsibilities.

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🩺 What Is an Anatomy Scan?

During a surrogacy pregnancy, the anatomy scan is a non-invasive ultrasound that provides a detailed assessment of the baby’s development. It includes:

• Brain, heart, kidneys, stomach, bladder
• Spine, arms, legs, and facial structure
• Placenta placement and amniotic fluid levels
• Fetal measurements and weight estimates
• Baby’s sex (if requested by intended parents)

The scan typically lasts 30–60 minutes and must be completed by a certified technician in a clinic that performs Level II ultrasounds.

⏰ When Should a Surrogate Mother Get the Anatomy Scan?

The anatomy scan should be completed between 18 and 22 weeks of pregnancy:

• Best time: 18–20 weeks
• Absolute deadline: 22 weeks + 6 days

At GSHC, we emphasize early scheduling. Many ultrasound clinics won’t perform this scan after 22w6d, and last-minute appointments may be hard to find. This timeline is especially important in surrogacy, where delays can limit medical or legal options if complications are discovered.

👶 Why the Anatomy Scan Is Essential in Surrogacy

For any pregnancy, the anatomy scan provides reassurance. But in surrogate pregnancies, it offers:

• A clear medical update to intended parents
• Time for second opinions or specialist referrals (such as MFM) if abnormalities are found
• The ability to make important decisions before 24 weeks gestation, when certain legal or clinical interventions are no longer possible

At GSHC, we’ve seen firsthand how timely anatomy scans can help families prepare emotionally and logistically for the road ahead.

📝 How to Request and Schedule the Scan

Here’s what every surrogate mother should do:

1. Request the OB Referral Early

Ask your OB between 16–18 weeks:

“Can I please get the order for the 20-week anatomy scan?”

2. Schedule Immediately

• Use a trusted imaging center that offers Level II anatomy scans
• Share the appointment details with your GSHC case manager

📤 How to Share the Results — No Delays

After the appointment:

1. Ask for a copy of the report before you leave

Most clinics will provide a printed or digital version upon request.

2. Get the OB’s final notes

The doctor—not the tech—must review and interpret the results. Ask for this written summary as soon as it’s available.

3. Send both reports to your GSHC coordinator right away

This is required for:

• Medical tracking
• Timely updates for intended parents
• Ensuring no delays in compensation

🚨 Critical Reminders for Every Surrogacy Journey

• Complete the anatomy scan before 22w6d
• Share all results with GSHC and the intended parents within 1 business day
• Communicate early and often if you need help scheduling

Delaying this scan can affect payment timelines, medical readiness, and emotional peace of mind for the entire team.

💖 GSHC Supports You — But Responsibility Starts with You

At GSHC Surrogacy Agency, we’re proud to support every surrogate mother with professional guidance, medical coordination, and compassionate care. But attending and reporting the anatomy scan is your duty as a committed, trusted part of the surrogacy team.

The anatomy scan is not optional—it’s essential.

Protect the pregnancy. Honor your agreement. Keep communication clear.

💬 Want More Support on Your Journey?

With over 800 babies born through our agency, GSHC remains one of the most experienced and trusted surrogacy agencies in the U.S. If you're ready to start your journey—or want to return for another—our team is here for you.

➡️ Learn more: www.gshcsurrogacy.com